PE for Inmates is available to individuals who meet the following requirements. The individual must:

Be an inmate from a correctional facility operating under the memorandum of understanding or contract with the Indiana Family and Social Services Administration (FSSA)

Not be on house arrest

Not be pregnant or admitted for labor and delivery

Be admitted for inpatient hospitalization

Be under the age of 65

Meet all other standard PE requirements

Inmates who go through the PE process must complete an Indiana Application for Health Coverage to retain inpatient benefits. Individuals who complete applications and are found eligible will be covered for 12 months under the Medicaid Inpatient Hospital Services Only benefit plan. If the inmate does not complete an Indiana Application for Health Coverage, his or her presumptive eligibility coverage will end on the last day of the month following the month in which the individual was found presumptively eligible. If the individual remains incarcerated after one year, he or she may reapply for coverage through the PE for Inmates process.

Services rendered to individuals covered under Medicaid Inpatient Hospital Services Only (through the PE for Inmates process) will be reimbursed through the fee-for-service (FFS) delivery system at FFS rates. Providers are reminded to always verify individuals' eligibility before rendering services. Eligibility can be verified by using any of the following Eligibility Verification System (EVS) options:

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Sign up for email and/or text notices of Medicaid and other FSSA news, reminders, and other important information. When registering your email, check the category on the drop-down list to receive notices of Medicaid updates; check other areas of interest on the drop-down list to receive notices for other types of FSSA updates.